NAVY AND MARINE CORPS
MEDNEWS Items of Interest
In June, Navy Medicine will highlight
how it demonstrates value across the
Navy Medicine enterprise through
efficient health care delivery, Medi-
cal Home Port teams, and effectively
managing our patient population both
in and out of network.
June celebrates Mens Health Month.
In honor of this month, BUMED has
launched its "Get Healthy Like a Man"
campaign. Be sure to check out our
social media and blog sites to see how
you can get healthy like a man!
June 17th marks the 1 15th birthday of
the Navy Hospital Corps.
June 4-7 marked the commemoration
of the Battle of Midway, which took
place June 4-7, 1942.
Check out the new Medical Home
Port video on the USNavyMedicine
YouTube page: http://youtu.be/WlM-
Find us on Facebook. U.S. Navy Bu-
reau of Medicine and Surgery, follow
us on Twitter ^NavyMedicine . read
our publications on Issuu, check out
our photos on Flickn watch our videos
on YouTube and read our blog on
Navy Medicine Live.
Did You Know?
In the Vietnam War
alone, hospital corpsmen
received four Medals of
Honor, 31 Navy Crosses,
127 Silver Stars, and 291
Bronze Stars for heroics
Deputy Surgeon General
retires after 33 years
By Joshua L. Wick, U.S. Navy Bureau
of Medicine and Surgery Public Affairs
WASHINGTON- The Navy's deputy
surgeon general and deputy chief, Bu-
reau of Medicine and Surgery (BUMED),
retired June 14 after a military career that
spanned more than 33 years of service.
In Navy tradition. Rear Adm. Michael
H. Mittelmans flag was hauled down dur-
ing a formal ceremony attended by senior
and junior military members, civilian
guests, family and friends at the Sail Loft
on the Washington Navy Yard, D.C.
"When you look at the breadth of his
career, the amazing telescopic view he's
had of the Navy, the military, and the
joint world in addition to what he's been
able to bear throughout his career, it re-
ally is an amazing accomplishment," said
Vice Adm. Matthew Nathan, U.S. Navy
surgeon general and chief, BUMED.
Nathan added that in his last role, Mit-
telman was a compelling representative
and co-leader of Navy Medicine.
"This ceremony is fitting for an officer
of his caliber and for contributions he's
made," said Nathan.
Mittelman, a native of Long Beach,
N.Y., has held the position as deputy sur-
geon general and deputy chief of BUMED
since November 201 1.
The rear admiral began his Navy career
as a staff" optometrist in 1980 at Naval
Hospital Cherry Point, N.C. In June 1989,
he became the first Navy optometrist to
earn designation as an Aerospace Op-
tometrist (NAsO). He took command of
Naval Hospital Okinawa, Japan in July
2000, becoming the first optometrist to
command a naval hospital. Additionally,
Mittelman is the first and only clinician to
See Clinic, Page 3
Photo by /(
Rear. Adm. Michael Mittelman, deputy chief, U.S. Navy Bureau of Medicine and Sur-
gery and deputy surgeon general of the U.S. Navy speaking during his retirement
ceremony held J une 14 at the Washington Navy Yard, D.C. Mittelman retires after a
naval career that spanned more than 33 years of service.
An Official Public Affairs Publication of the U.S. Navy Bureau of Medicine and Surgery
Surgeon General's Corner
Navy Medicine highliglits
value across the enterprise
In today s fiscal and resource con-
strained environment, we must look
for value in all we do. Whether we are
providing care to our Sailors, Marines,
and beneficiaries, or developing health
care policy, we need to evaluate how we
are getting the job done. This is especially
important in the peacetime care dynamic.
This month, I would like to talk with
you about how we are creating value
in the care we provide across the Navy
Medicine enterprise. Many of you have
heard me talk about my key priorities of
readiness, value and jointness. In order to
balance cost and quality, we need to make
sure we're razor- sharp in the quality of
care we provide,
'1n order to balance cost
and quality, we need to
make sure we're razor-
sharp in the quality of care
we provide, delivering that
care in the most efficient
Vice Adm. Matthew Nathan
care in the most
efficient way pos
Over the past
year. Navy Medi-
cine has been
gently on stream
patient population in and out of the net-
work, and assessing the Medical Home
Port (MHP) model.
Last year, I set a goal for the Navy
Navy and Marine Corps
U.S. Navy Bureau of Medicine and Surgery
^ice Adm. Matthew L. Nathan
Capt. Dora Lockwood
Public Affairs Officer
r Paul Ross
ng Deputy Public Affairs Officer
Valerie A. Kremer
LvlEDNEWS Managing Editor
U.S. Navy Bureau of Medicine and Surgery
^7700 Arlington Blvd. Ste. 5122
Falls Church, Va. 22042-5122
Public Affairs Office
Medicine enterprise to spend less on
purchased care in fiscal 2012 than the
previous year. To achieve that goal, we fo-
cused on recapturing care in orthopedics,
physical therapy, obstetrics/gynecology,
primary care, mental health and general
surgery. I'm pleased to say I'm seeing
the trends moving in the right direction.
Navy Medicine continues to move the
needle in reducing the amount paid for
purchased care by providing more care
internally. This has not only allowed Navy
Medicine to provide care more efficiently,
but it has also controlled external costs
and allows our workforce to be more
ship, but it is
tion that we
of our pur-
seems to be a simple referral can actually
cost, we are less likely to allow enrollees
out into the private network. Through
increased awareness and more informed
referral decisions, our Navy Medicine
health care providers will continue to
recapture care, see more patients and do
more of the work that would otherwise be
sent out into the network.
The success with the value priority also
demonstrates the link between specialty
care and the MHP system, of which many
of you have experienced in your MHP
teams. We have seen that the robust
medical homes have been doing a great
job at managing our patient population.
As a result, our inpatient care is decreas-
ing and we are able to do more outpatient
The MHP model has allowed de-
creased emergency room use, among
other achievements. Naval Hospital Sigo-
nella and Naval Hospital Yokosuka are
our top performers in this area where, on
average, only two of every 100 enrollees
are going to the ER for care each month.
U.S. Navy Surgeon General
Vice Adm. Matthew L. Nathan
U.S. Navy Surgeon General
This is great news.
Also, we have seen performance
steadily increase with MHP continuity.
Naval Hospital Oak Harbor has done
an outstanding job with 86 percent of
patients achieving continuity, meaning
that their primary care manager is able
to form a longer term, deeper relation-
ship with the patient. This has a variety of
benefits for the patient and is one of the
key differentiators of the MHP model,
including a higher likelihood that full
medical history will be taken into account
at each visit and has also been attributed
to higher patient satisfaction.
For overall patient satisfaction. Navy
Medicine is highly achieving no matter
how you slice it. Enrollees at Naval Health
Chnic (NHC) Guam, NHC Hawaii and
NHC Annapolis could not be happier
with the care that is provided by Navy
Medicine, as over 95 percent of respon-
dents are satisfied with the care they
receive. I am proud to say that trends
across all MTFs are improving as of the
start of 20 13.
By evaluating all that we do, we have
become much better at controlling our
costs, with month-to-month costs now
relatively stable. This demonstrates the in-
credible job that our MTFs have done to
turn the flywheel of purchased care in the
other direction. I commend the tremen-
dous work already being done, and I urge
each of you to continue to ensure Navy
Medicine is providing the best return on
our nation's investment in quality health
care for our naval forces.
I am so very proud of the work you do
each day. Thank you for your service and
as always, it is my honor and privilege to
serve as your surgeon general.
NMCSD opens new clinic in Ranclio Bernardo
By Mass Communication Specialist
Seaman Pyoung K. Yi, Naval Medical
Center San Diego Public Affairs
SAN DIEGO - Naval Medical Center San
Diego (NMCSD) celebrated the grand
opening of one of its newest clinics dur-
ing a ribbon-cutting ceremony May 15.
Naval Branch Health Clinic (NBHC)
Rancho Bernardo is poised to continue
the hospitals legacy of providing top-
notch care to our nations heroes and
those who stand by them.
"This new clinic takes that world-
class quality and brings it right into our
patients backyard. World-class quality
health care with a state-of-the-art facility
and convenience that is second to none,"
said Capt. (Dr.) Joe Aquilina, director of
Branch Clinics. "This is a great service
to all the active duty, their families and
retired service members who entrust us
with their health care needs. It s a real
honor to serve these patients and I think
putting so much into customer service
and convenience really shows this com-
mitment to our patients."
NBHC Rancho Bernardo is staffed by
a patient and family- centered Medical
Home Port team that delivers primary
Photo by Mass Communication Specialist 2nd Class Sean P. Lenahan
Rear Adm. C. Forrest Faison III, commander, Naval Medical Center San Diego and
Navy Medicine West and staff cut the ribbon for the during the grand opening of
Naval Branch Health Clinic Rancho Bernardo.
care, immunizations, pharmacy, phle-
botomy, case management and health and
wellness services in a "one stop shop" en-
vironment to 4,800 eligible beneficiaries.
The Rancho Bernardo Clinic will as-
sist in lightening the load on neighbor-
ing Branch Health Clinic Marine Corps
Air Station Miramar, allowing for more
personalized patient care, according to
NMCSD s Facilities Department Project
Officer, Lt. Cmdr. Richard J. Taulli.
The clinic opened its doors to patients
April 22. Its 11 staff members treat an
average of 20 patients daily, according to
"The team has done a great job coming
together and really getting our processes
in place. Our providers love the new
facility and our patients really appreciate
See Clinic, Page 7
From page 1
serve as the 15th director of the Medical Service Corps (MSC)
and the only non-physician to serve as a combatant command
surgeon for U.S. Pacific Command and the first at U.S. Joint
In addition to his series of firsts, Mittelman served in a va-
riety of additional assignments and command positions across
the Navy Medicine enterprise including Pensacola, Fla.; Great
Lakes, 111.; Washington, D.C.; Yorktown and Norfolk, Va.; Hono-
lulu; Rota, Spain; as well as Okinawa, Japan.
"I got my first hop in a Marine EA-6B while stationed in Pen-
sacola," said Mittelman. "That cemented my love for aviation."
At each duty station, Mittleman added, they [his family] met
some amazing folks, who made a real impact on their lives and
that has helped to make the Navy such a uniquely gratif)^ing and
Though command has taken him out of regular clinical op-
erations, treating great patients and being able to mentor junior
Sailors is what has kept him motivated and dedicated.
"Don't be afraid to get out of your comfort zone and take
some calculated risks," Mittelman said. "Take care of your
people, be honest and have fun, it's the only way you'll grow
According to the rear admiral, one of his most significant
accomplishments was his involvement in Operation Tomodachi,
the United States' military medical response to the earthquake.
tsunami and nuclear reactor crisis in Japan in 201 1.
During his time as command surgeon for Pacific Com-
mand, Mittelman and his team were responsible for ensuring
the health safety of residents in the region as well as monitoring
the air, food, soil and water for contaminates. In addition, they
collaborated with the joint multinational disaster relief effort.
Mittelman and his Navy Medicine team provided radiation
health support, established a registry to document radiation ex-
posure estimates for more than 70,000 Department of Defense
affiliated personnel on or near the mainland of Japan and laid
the foundation and established new science protocols for deal-
ing with these type of situations.
Mittelman thanked Nathan and Dr. Jonathan Woodson,
assistant Secretary of Defense (Health Affairs) and director of
Tricare Management Activity, for their leadership and friend-
ship. He added. Navy Medicine and the military health system
are in great hands because of them, great officers and enlisted
who keep Sailors, Marines and all service members healthy and
on target for readiness.
Mittelman's awards and decorations include: Defense Supe-
rior Service Medal (two awards). Legion of Merit Medal (five
awards). Meritorious Service Medal (three awards). Navy and
Marine Corps Commendation Medal (two awards). Navy and
Marine Corps Achievement Medal, Meritorious Unit Commen-
dation (two awards). National Defense Service Medal, Global
War on Terrorism Service Medal, Navy and Marine Corps
Overseas Service Ribbon (five awards), and the Navy Expert
June 2013 -MEDNEWS • 3
The Navy Float at the 2013 Armed Forces Day River Parade held May 18,
Photo courtesy of Larry Coffey
at the River Walk in downtown San Antonio.
By Larry Coffey, NMETC PAD
SAN ANTONIO - Navy Medicine
Education and Training Command
(NMETC) staff and students were among
the many military personnel honored at
the second annual Armed Forces Day
River Parade held along the River Walk in
downtown San Antonio May 18.
The river parade was one of multiple
annual events honoring the military that
are hosted by the community or busi-
nesses in San Antonio, known as Military
"I was honored and privileged to be
a part of the San Antonio Armed Forces
River Parade" said Rear Adm. Bill Rob-
erts, Medical Education and Training
Campus (METC) commandant, one of 1 1
Sailors on board the Navy float. "It was
an extremely well orchestrated event, and
I was delighted by how warmly the San
Antonio community embraced our Navy
men and women. San Antonio has a long
history of supporting our troops, and that
was clearly in evidence by the manner in
which its citizens went out of their way to
make our Navy personnel feel welcomed
Sailors on board the Navy float were
from NMETC, Navy Recruiting District
San Antonio, the Navy Operational Sup-
4 • MEDNEWS • June 2013
port Center, Navy Medicine Information
Management Support Activity, and the
Navy Technical Training Center Master at
Arms "A" School.
Sailors were also part of the celebration
when they joined seven of their counter-
parts from the other services on board
the Fiesta Military Ambassadors' Float,
where military ambassadors representing
the five services during the Annual Fiesta
San Antonio were recognized. Crypto-
logic Technician Interpretive 2nd Class
William J. Cruz from the Navy Informa-
tion Operations Command, San Anto-
nio and Hospital Corpsman 2nd Class
Gina Martinez, a METC Hospital Corps
instructor from the Navy Medicine Train-
ing Support Center, were Navy ambassa-
dors during Fiesta.
The parade was televised in 54 markets
across the U.S., on the Pentagon Chan-
nel, Armed Forces Radio and Television
Service outlets overseas and via Closed
Circuit Television systems on board Navy
ships. In all, the River Parade featured 24
floats — small flat-hulled boats decorated
for the parade that slowly made their
way down the San Antonio River Walk, a
network of walkways along the banks of
the San Antonio River. Five floats repre-
sented the five military services and were
decorated by the Paseo Del Rio Associa-
tion, which puts on 24 River Walk events
"The River Walk and the military are
iconic with San Antonio," said Nancy
Hunt, executive director, Paseo Del Rio
Association. "The Armed Forces Day
River Parade just makes sense."
Seaman Mary Ambrose, a Chicago
native, was one of two METC Hospital
Corps "A" School students who joined
Roberts and Master Chief Petty Officer
Rusty Perry, NMETC, command master
chief, on board the Navy float. Ambrose
said she discovered during this event
just how iconic the military is with San
"Before the parade started, we were
walking around downtown San Antonio
and people were stopping and looking,"
said Ambrose. "There were even a few
people who asked to take pictures with
us. I have never seen the River Walk so
crowded. When I told my mom I was
getting recognized in the military ap-
preciation parade, she was so proud. She
was able to stream it live on Fox from
For Hunt, the Armed Forces Day River
Parade was all about recognizing military
Navy's top doc discusses priorities, patient care
By Yan Kennon, Naval iHospital
Jaclcsonviile Public Affairs
JACKSONVILLE, Fla. - U.S. Navy sur-
geon general and chief, Bureau of Medi-
cine and Surgery visited Naval Hospital
(NH) Jacksonville and its branch health
clinics May 29 and delivered a keynote
address at the Center for Global Health
and Medical Diplomacy at the University
of North Florida's fifth annual Quality
and Safety Forum May 30.
Together with NH Jacksonville Com-
manding Officer Capt. Gayle Shaffer,
Vice Adm. Matthew Nathan kicked off"
day one of his visit by participating in
the hospital's morning colors and awards
ceremony to recognize more than a dozen
"Navy medicine's number one job is
to support the warfighter," said Nathan,
during interactive discussions focused on
patient's health outcomes, and the role of
performance metrics in improving qual-
ity of care.
Supporting NH Jacksonville's current
opportunity to increase primary care en-
rollment from 57,000 to 63,000 patients,
Nathan commented that military families
love that Navy Medicine doesn't get paid
based on procedures; that instead, care
decisions are driven by what is right for
that care in
the cost to
run the military treatment facility, and
the cost of care in the network. And with
nine general surgeons, two of whom are
fellowship-trained joint specialists in
arthroplasty; an award- winning Fam-
ily Medicine Residency Program, the
Navy's oldest and largest; state-of-the-art
renovated facilities and expert staff", it has
never been a better time to get care at
Medical Home Port, Navy Medi-
cine's team approach to health care, was
another important topic, as it supports
continuity of care, by placing patients
in the center of a team of caregivers led
by their primary care managers. Nathan
Photo by Jacob Sippel
Surgeon General of the Navy Vice Adm. Matthew Nathan, center, meets with senior
leaders at Naval Hospital Jacksonville, including Commanding Officer, Capt. Gayle
Shaffer. The discussion focused on patients' health outcomes and the role of Naval
Hospital Jacksonville's performance metrics in improving quality of care.
envisions a day when military patients are environments, and the critical role of staff"
"In health care, it's everyone's
job to make the patient's life
better when they leave the
facility than it was when they
Vice Adm. Matthew Nathan
U.S. Navy Surgeon General
able to talk directly to a provider after-
hours for urgent care that doesn't require
an emergency room visit.
NH Jacksonville has 14 Medical Home
Port teams across the command.
General s call
the job that
Corps team is doing.
"We form a naval and Marine Corps
maritime team that does some amazing
things around the world," said Nathan.
"We work in any dynamic across the
world, whether it's above the sea with
naval aviation medicine; on the sea with
surface medicine; below the sea with
submarine medicine; or on land, support-
ing the Marine Corps and special opera-
tions, as evident for the last 10 to 12 years
in Iraq and Afghanistan as major military
combat support players."
In his address to senior staff, Nathan
continued to discuss Navy Medicine's
portfolio of combat casualty care in all
in being ready to go anytime, anywhere.
"You chose to be a part of an organi-
zation that is bigger than yourself, that
gives back and that makes a difference,"
said Nathan. "As for our civilians, who are
amazing in their resilience and ability to
get things done, it's a pleasure working
next to you each day."
Underscoring one of Navy Medicine's
strategic goals to collaborate on shared vi-
sions for health care and interoperability,
day two of Nathan's visit was his keynote
address to about 200 leaders from region-
al health organizations at the fifth annual
Quality and Safety Forum, hosted by the
Center for Global Health and Medical
Diplomacy at the University of North
Florida. Discussions throughout the day
were aimed at creating a culture of safety
in medical institutions across the region.
"In health care, it's everyone's job to
make the patient's life better when they
leave the facility than it was when they
came in," said Nathan.
He concluded his remarks to the
northeast Florida audience when he said,
"We heal patients as a community; pri-
vate-sector, military, VA, and thank you
for embracing Naval Hospital Jacksonville
staff, not only as citizens, but as members
of the medical community."
June 2013 -MEDNEWS • 5
Navy Secretary describes pregress in cembating sexual assaults
By Jim Garamone, American Forces Press Service
WASHINGTON - Navy Secretary Ray Mabus is not concerned
about sexual assault in the service. He's angry.
The Navy has been taking steps for years to combat the
scourge of sexual assault in the ranks, Mabus told the Defense
Writers Group June 13 and has two cultural barriers to break
The first culture that has to change is the "one that says this
is OK, or that it is not really serious," he said. "The other is the
mindset of a victim who says, Tm not going to report this, be-
cause nothing will happen. I won t be taken seriously, it won t be
investigated, and it will hurt my career.'"
The Navy is aiming resources at where it has a problem, the
secretary said. The Air Force has had a problem of sexual assault
at basic training, he noted, and the Navy has had a problem at
its follow-on schools.
"We have put a lot of attention at our A' schools," he said.
As the service finds programs that work, Mabus said, offi-
cials export them to other commands. The "A" school initiatives
started at Great Lakes, 111., and have moved on to Navy schools
in San Diego and Pensacola, Fla.
The Navy has been aggressive, the service's top civilian of-
ficial said. "We're sending shore patrols out — the first time in a
long time we've done that," he added. "We're stressing bystander
The service also is continuing efforts to cut alcohol abuse,
because a large number of sexual assaults have had an alcohol
component, the secretary said.
Another area of focus zeroes in on what happens if an inci-
dent happens. "Is it reported? How quickly and how well do we
respond?" Mabus said. "Is the command climate right for people
Tied to this is victim assistance, he added. How local officials
help the victims in these cases is important to him, Mabus said.
Finally, investigation and prosecution is important to the
Navy. Mabus has authorized more money to the Naval Criminal
Investigative Service for more investigators and more resources.
Jicial U.S. Navy file photo
Navy Secretary Ray Mabus briefed the Defense Writers Group
June 13 about the Navy's plan to decrease sexual assaults in
"It was taking up to 180 days to investigate an incident," he
said. "Initially, we think we can get this down to 80 days."
The Navy also is spending more to train its lawyers in these
cases, the secretary said.
Measuring what works and what doesn't also is part of this
effort, Mabus said. "Can we figure out what the best practices
are?" he asked. "We're beginning to make some headway there."
Mabus said he thinks taking away a commander's right to
overturn a conviction is long overdue.
"Right now, if you are convicted of sexual assault, you are re-
ferred to a board of inquiry to see if you'll be allowed to stay [in
the service]," he said. The notion that "if you're convicted, you're
out" is the way to go, he added.
The secretary said he looks at sexual assault as an internal
attack that must be dealt with.
"We're finding pretty dramatic results in places like Great
Lakes, where we've rolled out these programs," he said. "Our job
is to get them fleetwide."
Combat Care Training
Sailors from various naval health connnnands
around Hawaii participate in Tactical Conn-
bat Casualty Care (TCCC) training. TCCC is a
concept of pre- hospital casualty management
specific to the combat and tactical environ-
ments. During the field training exercise por-
tion of TCCC, Sailors are put into a simulated
combat scenario where they have to deal with
elements of battle and provide accurate and
timely medical care.
View more Navy Medicine photos online at:
6 -MEDNEWS -June 2013
Photo by Joshua Wick
(From left to right) The most junior corpsman, Hospital Corpsman 3rd Class Keeon
Haines; Rear Adm. Michael Mittelman, deputy surgeon general; and Force Mas-
ter Chief Sherman Boss, U.S. Navy Bureau of Medicine and Surgery, cut the cake
during the Hospital Corps' 115th birthday celebration held J une 13 at the Defense
By Valerie A. Kremer, U.S. Navy
Bureau of Medicine and Surgery
FALLS CHURCH, Va. - The Navy Hos-
pital Corps will celebrate 115 years of
service June 17.
During the anniversary of the Hos-
pital Corps, Navy Medicine leadership,
corpsmen, and staff come together across
the Navy Medicine enterprise to honor
the sacrifice and achievements of hospital
corpsmen past and present.
"Over the past century, the unyielding
commitment of our Hospital Corps has
been nothing short of remarkable," said
From page 3
Master Chief Sherman Boss, director of
the Hospital Corps, and Force Master
Chief, U.S. Navy Bureau of Medicine and
Surgery, during a ceremony held at the
Defense Health Headquarters honoring
the 1 15th birthday of the Hospital Corps,
June 13. "Your service today stands as a
benchmark of excellence and profession-
alism within the Navy and Marine Corps.
As the Hospital Corps begins another
year of dedicated service to our warriors
and their families, we remember the
rich traditions and legacy of the past and
look forward to the future service to our
Established June 17, 1898, the Hospital
Corps provides health care to Sailors, Ma-
rines, and those entrusted to their care on
the battlefield, at sea, under the sea, and
in military treatment facilities worldwide.
"No Marine has gone into battle
without you," said Rear Adm. Mittelman,
deputy Navy surgeon general. "No ship
or sub has gone underway without you.
You're always in the thick of the battle
and the main reason we have a 97 percent
save rate on the battlefield. Your lineage is
one of honor, courage and commitment."
Although the name of hospital corps-
men has changed from the Corps' incep-
tion in the Continental Navy, from lob-
lolly boy to pharmacists mate to hospital
corpsman, the core values of the Hospital
Corps remain the same.
"The reason I became a hospital corps-
man was because of my grandmother
who was sick and I was taking care of
her," said Hospital Corpsman 3rd Class,
Keeon Haynes, the most junior corpsman
during the ceremony. "It means so much
to me to help people because that is just
what I do - putting other people before
me. It means more to me to take care
of someone else and see them get bet-
ter than anything else in the world - it
makes me happy."
The Hospital Corps, which consists of
more than 25,480 active duty and reserve
Navy hospital corpsmen, is the largest
and most decorated rating in the Navy.
Twenty naval ships have been named
after hospital corpsmen.
Since 1919, 178 corpsmen have
received the Navy Cross Award. In the
Vietnam War alone, hospital corpsmen
received four Medals of Honor, 31 Navy
Crosses, 127 Silver Stars, and 291 Bronze
Stars for heroics under fire.
being able to keep their current provider and see them in this
brand-new clinic, which is close to their home or work," he said.
The clinic has 13 examination rooms, a treatment room, two
screening rooms, a laboratory, pharmacy, a space for mammog-
raphy, a work pod for the clinic's staff, as well as administrative
and supply spaces in a 9,200-square-foot facility.
"This location brings the high quality NMCSD patient care
to North [San Diego] County," added NBHC Rancho Bernardo
department head, Cmdr. Elizabeth Engelman. "We can now
offer services in multiple locations that best serve our patient
Planning for the new clinic began in 2009; construction com-
menced in December 2012 and was completed in March 2013.
"I am very pleased with the results; the facility is very attrac-
tive, and raises the standard of care for our patients. The effort
and support of all involved was truly above par, above and be-
yond in every case," said Taulli. "I am extremely proud to have
been part of this team, and grateful to be entrusted with such an
important task for the hospital, its beneficiaries, and San Diego."
NMCSD also celebrated the grand re-opening of the newly-
renovated Branch Health Clinic Naval Training Center May 31.
^, If you'd like to submit an article or have an idea for one,
^ contact MEDNEWS at 703-681-9032 or Valerie.Kremer@med.navy.mil
June 2013 -MEDNEWS • 7
Medical personnel lead disaster management conference
By Pfc. Kasey Peacock, Marine Corps Installations Pacific
NISHIHARA, OKINAWA, Japan - More than 100 people at-
tended a disaster preparedness, management and response
conference May 17 at the University of the Ryukyus Hospital's
Okinawa Clinical Simulation Center in Nishihara.
Navy Capt. John R LaBanc, the III Marine Expeditionary
Force surgeon, and Dr. Ichiro Kukita, the university director of
the emergency medicine department, invited medical profes-
sionals, students and professors from Japan and U.S. service
members and Department of Defense employees to the confer-
ence to develop disaster relief response plans.
"In the Asia-Pacific region, and especially Japan, we realize
that disasters are imminent, and we need to work together," said
LaBanc. "After last year s conference, we wanted to get the word
out about the importance of it and about building relationships
with the medical community now before disaster strikes. This is
our opportunity to work with the medical community through-
People attending the one- day conference heard presentations
from both American and Japanese medical professionals who
covered an overview of disaster management, bilateral response
operations, planning, incident command systems, injuries and
coping with post-traumatic stress disorder.
The conference brought together individuals involved in di-
saster response situations, according to Robert D. Eldridge, the
deputy assistant chief of staff for G-7, government and external
affairs. Marine Corps Installations Pacific.
"We had medical first-responders, military service members,
doctors, professors and firefighters from all across Japan come
to the conference," said Eldridge. "With everyone having differ-
ent procedures, we can learn from each other to find the best
practice. Several people at the conference were involved directly
with the Great East Japan Earthquake and subsequent tsunami
relief efforts. This brought a lot of experience to the conference
and helped a great deal in planning future relief efforts."
The number of people who showed up highlighted the im-
portance of planning for future disasters, according to Lt. Col.
Hiroya Goto, an ophthalmology instructor at the Japan Ground
Self-Defense Force Medical School.
"I was happy about the turnout," said Goto. "I believe that,
on top of the importance of planning for these efforts, more
importantly is the face-to-face contact you have with your peers.
Photo by Pft. Kasey Peacock
Approximately 100 people were in attendance as U.S. Navy
Capt. Miguel A. Cubano talks about his experiences deal-
ing with earthquake relief efforts at a disaster management
conference May 17 at the University of the Ryukyus Hospital's
Okinawa Clinical Simulation Center in Nishihara. Cubano is
chief operations and medical director for Tricare Area Office-
It made such a difference during Operation Tomodachi to have
worked beside Americans in the past. By meeting each other
and then working together to help each other, you build rela-
tionships that last a lifetime."
The conference also established a relationship between the
staff at the simulation center and the medical community to
coordinate future joint medical exercises, according to LaBanc.
"The simulation center here is one of the most advanced in
all of Asia," said LaBanc. "Our goal is to come up with a course
that can integrate Japanese and American service members,
as well as medical personnel from the center, into a combined
training scenario. With all of those entities coming together,
plus the benefits of the centers capabilities, you have a remark-
With the understanding that a disaster could be forthcoming,
conferences like these are steps in the right direction in getting
everyone prepared, according to Eldridge.
"It has been said the best way to save lives is to do it ahead of
time," said Eldridge. "These conferences show we all understand
that and are doing everything we can to work together in prepa-
ration for whatever happens."
Hospital Corpsman 3rd Classjocelyn Corpening
provides emergency care to a multiple amputa-
tion trauma trainer during the Collective Protec-
tion Exercise held on Naval Weapons Station
Yorktown-Cheatham Annex, May 14. The Col-
lective Protection Exercise provides a collective
protection to the warfighter and their equipment
utilizing state-of-the-art chemical, biological and
radiological protective technologies.
8 • MEDNEWS • June 2013
Independent Duty Cerpsmen celebrate graduatlen
By Mass Communication Specialist
3rd Class Joe Bishop, Naval Medical
Center San Diego Public Affairs
SAN DIEGO - Independent Duty Corps-
men (IDC) graduated from Surface War-
fare Medical Institution (SWMI) at Naval
Medical Center, San Diego with a keynote
speech by the 37th Surgeon General of
the Navy and Chief of the Navy's Bureau
of Medicine and Surgery June 7.
Vice Adm. Matthew L. Nathan spoke
to the class and among the family mem-
bers and fellow Sailors, Nathan empha-
sized the importance of their abilities.
"We bring concentrated medical train-
ing in the form of an independent duty
corpsman," said Nathan.
IDC's are trained to function inde-
pendent of medical officers. They work
in a wide range of medical environments
that include: advanced diving medicine,
advanced patient care, medical adminis-
tration and environmental/occupational
Additionally, IDCs are trained in logis-
tical duties, which allow them to function
effectively when operating independently
of medical officers. The IDC program also
provides an IDC refresher course and
the Surface Force Medical Indoctrination
"The IDC is just an absolutely critical
element of what we do in the Navy oper-
ating forces," said Nathan.
Various platforms in which IDC's can
be found include: diving commands.
Photo by Mass Communication Specialist 3rd Class Joe Bishop
Sailors listen to Vice Adm. Matthew L. Nathan, Navy surgeon general, speak during
their graduation fronn the Independent Duty Corpsmen (IDC) program at the Sur-
face Warfare Medical Institute. The IDC program is a yearlong course that delivers
training in support of Force Health Protection.
ships. Fleet Marine Force (FMF), sub-
marines, special operation commands,
Seabees and also various shore activities
related to the Navy and Marine Corps.
IDCs are typically considered special-
ists for medical support obligations due
to the dynamic operational flow and
tasking they handle in assisting other ele-
ments of the Department of Defense.
SWMI offers a number of courses to
medical professionals that educate Sailors
on how to offer the best care to Sailors
and Marines, who depend on their servic-
es. The Surface Force Independent Duty
Corpsmen class is a yearlong course.
The IDC graduates are trained and
prepared to work in various locations and
under a myriad of circumstances.
"We put these men and women in
some of the most remote and isolated
platforms at sea and on land around the
world," said Nathan. "They perform a
critical function and they really are the
tip of the spear."
Winners of Navy Surgeon Gonorars Health Promotion and Wellness Award announoed
By Navy and Marine Corps Public Health Center Public Affairs
PORTSMOUTH, Va. - The Navy and Marine Corps PubUc
Health Center (NMCPHC) announced the posting of
the 2012 Blue-H Navy Surgeon General's Health
Promotion and Wellness Award winners on its
website June 14.
Winners were officially recognized in a
message last month by Vice Adm. Matthew
L. Nathan, U.S. Navy Surgeon General, for
their outstanding contributions in health,
wellness and fitness activities and policies
in Navy workplaces and U.S. Marine Corps
SEMPER FIT Centers. Exactly 271 organiza-
tions were recognized in 2012, up 10.6 percent
from 201 1, indicating an increase in the Navy
awareness of the Blue H Award.
Managed by NMCPHC, the annual award is intended
to encourage and reward the promotion of health and well-
ness topics. Topics include alcohol abuse prevention, injury
prevention, nutrition, physical activity, psychological health,
sexual health, tobacco cessation and weight management. The
award incorporates workplace-level information about
the crew's health from the Fleet and Marine Corps
Health Risk Assessment.
"We are proud to recognize these Navy work-
places and Marine Corps SEMPER FIT Cen-
ters for their commitment to healthy living,"
said Cmdr. Connie Scott, Health Promotion
and Wellness department head, NMCPHC.
"This demonstrates the commitment of many
commands to force health and readiness and
' sets the standard for other organizations."
Award recipients are recognized in three
different Navy and Marine Corps environments:
fleet, medical and Semper Fit Centers.
Fleet - This version is for all Navy commands other
than military treatment facilities (MTF) and recognizes excel-
See Award, Page 10
June 2013 -MEDNEWS • 9
Navy Medicine Research
Researchers evaluate hypoxia mitigation
By Dr. Jeffrey Phillips and Dr. Bill
DAYTON, Ohio - Hypoxia represents a
significant hazard in miUtary and civil
aviation. Since 2001, over 100 hypoxia-
related hazard reports and three mishaps
in Naval aviation have been attributed to
Scientists and engineers at the Na-
val Medical Research Unit Dayton
(NAMRU-Dayton) are testing in-cockpit
hypoxia detection methods focusing on
physiological sensors including pulse
oximetry, reflectance oximetry, and near-
infrared spectroscopy. Although each of
these techniques is capable of detecting
a hypoxic event, their functionality is of-
ten compromised by environmental fac-
tors and require the operator to experi-
ence a significant degree of blood oxygen
desaturation before hypoxia is detected.
These limitations led NAMRU-Dayton
investigators to seek hypoxia detection
methods that would rapidly alert the op-
erator to the onset of a hypoxic event.
One promising approach uses gas sen-
sors to monitor the volume and quality of
air provided to pilots and crew through
their life support systems. Researchers
determined that in the event of a hypoxic
episode an oxygen sensor in the mask
would detect hypoxia up to six minutes
before any of the measures of blood oxy-
gen saturation would.
These promising results have led to
a collaboration between the Navy, Air
Force, and private industry. An industry
partner developed a sensor suite to detect
any disruption in the quantity or quality
of the breathing air supplied to the pilot.
The suite is composed of an oxygen and
flow sensor to test air before it reaches the
operator as well as a carbon dioxide sen-
sor to check for anomalies in expired air
From page 9
Photo courtesy of NAMRU-Dayton
The orbital hypoxia mitigation sensor suite nnounted to a standard aviation nnasl<.
to suggest a disruption to normal respira-
NAMRU-Dayton researchers are
working on a project, funded through
the Air Force Surgeon General s Office, to
characterize the effect of normal aero-
space environmental factors on sensor
performance and accuracy.
Many aspects of the aviation environ-
ment, such as fluctuating barometric
pressures and humidity levels as well as
temperature extremes, can negatively
influence sensor performance in opera-
These sensors are evaluated inside a
hypobaric chamber while temperature,
pressure, flow and humidity are manipu-
lated. The results will be used to establish
algorithms to correct for the negative
effects of aviation-specific environmental
NAMRU-Dayton researchers and their
research collaborators will continue in-
vestigating this and other potential miti-
gations with the constant goal to improve
the safety of flight for our warfighters.
lence in workplace primary prevention policies, activities and
outcomes; such as the health status of the crew or staff, and
conduct of evidence-based and best practice activities.
Medical - This version is for active duty MTFs and recognizes
excellence in clinical primary prevention, community health
promotion and medical staff health.
Semper Fit Health Promotion Program - This version recog-
nizes excellence in community-level primary prevention activi-
ties for Marines, including alcohol abuse prevention, injury
10 -MEDNEWS -June 2013
prevention, nutrition, physical activity, psychological health,
sexual health and tobacco cessation, conducted by Marine
Corps Semper Fit Centers.
The award is presented at three levels - Bronze Anchor, Silver
Eagle and Gold Star. Every organization that applies receives
at least the Bronze Anchor. A command earns the Silver Eagle
by scoring at least of 50 percent of available points in every
judged category. In addition to achieving at least 50 percent in
every category, commands that achieve at least 80 percent of
the total available points earn the Gold Star. All of the winning
commands received a Blue H pennant and an annual streamer
representing their level of achievement.
Voices from the Field
Photo by Mass Communication Specialist 3rd Class Laurie Dexter
Pacific Partnership embarl<ed aboard the amphibious docl< landing ship USS Pearl Harbor (LSD 52) transits past the USS
Missouri museum as the ship departs Pearl Harbor, May 25. Pacific Partnership is the largest disaster response- preparation
mission in the Indo-Asia-Pacific region. The mission contributes to stability and security by opening dialogue between leaders,
fostering friendships and building mutual trust and respect, while ensuring that the international community is better pre-
pared to work together as a coordinated team when a regional disaster strikes.
By Lt. Cmdr. Lori Christensen, U.S.
Navy Bureau of Medicine and Surgery
I will soon be embarking on what has
the potential to be the most exciting three
months of my Navy career to date. Leav-
ing the familiar behind, I will go to places
I have only read about in history books.
When I had the pleasure of getting
to know an officer from the Papua New
Guinea Defense Force during my Army
Medical Service Corps days, I never
dreamed that my future would include
working in his home country as a Navy
Medical Service Corps Officer. That is
exactly what happens as I arrive in Papua
New Guinea as part Pacific Partnership
Pacific Partnership 2013 began for me
in late January when I received a request
for forces from Navy Medicine West. The
message was sent to me on a Sunday eve-
ning because of my role as the Environ-
mental Health Officer (EHO) community
Assistant Specialty Leader. The request
came in for two EHOs to deploy with
Destroyer Squadron 31 as part of the pre-
ventive medicine team for the mission.
My immediate reaction was to volun-
teer! This is the type of mission that we
dream about in the preventive medicine
community! We put out a message to the
EHO community the next day and had an
overwhelming response from the junior
officers in the community. One thing
about the EHO community is that we are
not shy about deployments. The selection
was made to send me and Lt. j.g. William
Sterling from Navy Environmental and
Preventive Medicine Unit Six, Pearl Har-
bor, Hawaii. The support from the EHO
community and my colleagues at the U.S.
Navy Bureau of Medicine and Surgery
(BUMED) has been overwhelming. Navy
medicine is truly a team I am so fortunate
to be a part of.
Those of us who were assigned in
February came into planning that was
already well under way. The Pre Deploy-
ment Site Survey teams were returning
to provide situational awareness and
guidance at weekly teleconferences led
by the Medical Component Lead for the
mission, Capt. Chris Westbrook, Fleet
Surgical Team 9, San Diego. I was as-
signed as the senior Preventive Medicine
staffer for the team and began the process
of mission preparation in addition to
maintaining an already busy schedule in
my current position at BUMED.
One of the first decisions that had to
be made was to determine which officers
would go on each of the three separate
AD VON (Advanced Liaison) teams.
There were four of us to choose from
and the remaining officer would be the
preventive medicine officer in charge on
the USS Pearl Harbor. It was determined
that I would go on AD VON with the
team deploying to Papua New Guinea
and the Solomon Islands. This means I
will be in country to liaison with the host
nation ministries of health and medical
teams to determine, which activities the
shipboard crew will participate in when
The main focus of PP13 is to build on
pre-existing infrastructure and conduct
subject matter expertise exchanges to
build sustainable projects that can grow
and be further developed by future mis-
sion teams. It is an exciting opportunity
and I am very excited to be able to share
it with my Navy colleagues. Also, as it is
a partnership mission, we will be work-
ing alongside our Australian and New
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